NPI 1568707446

Wayne L. Wagoner, DPM, PC

Organisation Podiatric Clinic/Center Maquoketa, IA

Practice location

Address: 515 Rosemere Ln, Maquoketa, IA 52060-2615
Phone: (563) 652-9777
Fax: (563) 652-9778

Authorised official

Name: Wayne Leroy Wagoner
Title: Owner
Phone: (563) 652-9777

Registered specialties

Podiatric Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP1100X Licence 00526 (IA)

Other Clinic/Center providers in Iowa →

Registry record

NPI: 1568707446
Entity type: Organization
NPI issued: 4 Dec 2012
Record last updated: 4 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.